Sypherd Optical Inc.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

047931297 Issued in IL

Legal business name

SYPHERD OPTICAL INC.

Doing business as

Carrie Sypherd, OD

Practice address

26W171 Roosevelt Road
Wheaton, IL 60187

Phone

(815) 455-2800

Fax

(815) 455-2801

NPI assigned

Sep 14, 2009

Last updated

Sep 17, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carrie Sypherd, O.D.NPI 1992756290

Title

Optometrist

Phone

(815) 455-2800

Specialties & licenses 1

Addresses

Other names 1

• Carrie Sypherd, OD Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carrie Sypherd, O.D.

  • Optometrist
  • Crystal Lake, IL
  • NPI 1992756290
  Medicare reassignment NPD Authorized official
• Jeffrey Scott, O.D.

  • Optometrist
  • Santa Ana, CA
  • NPI 1568813434
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1033442769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E. TERRA COTTA AVE. SUITE 256",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "815-455-2800",
            "fax_number": "815-455-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26W171 ROOSEVELT ROAD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "815-455-2800",
            "fax_number": "815-455-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYPHERD OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "SYPHERD",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "815-455-2800",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IL",
            "license": "047931297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrie Sypherd, OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Coudal Sweeney
• Sweetgrass Psychotherapy and Wellness
• Pamela Marie Swiderski, PT
• Sarah Joleen Swoap
• Uzair Misbahuddin Syed, M.D.
• Jerry Szczybura, PHARMD
• Martin Tabaku
• Byron R Tabbut, M.D.
• Kathryn Frances Tabisz, LCSW
• Harold Tacuboy, PMHNP

• Vision Therapy Optometrist in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Vision Therapy Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.